Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $8.58 / $12.40	Facility	26	$8.58	$8.58	$12.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $30.60 / $56.51	Professional		$24.16	$30.60	$56.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $8.05 / $19.28	Professional	26	$6.57	$8.05	$19.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $22.57 / $37.27	Professional	TC	$17.80	$22.57	$37.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $43.97 / $43.97	Professional		$43.97	$43.97	$43.97
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $16.19 / $20.32	Professional	26	$8.32	$16.19	$20.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $43.29 / $82.43	Professional		$26.68	$43.29	$82.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $10.24 / $20.05	Professional	26	$7.03	$10.24	$20.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $32.45 / $65.25	Professional	TC	$19.55	$32.45	$65.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $37.65 / $77.54	Professional		$28.30	$37.65	$77.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $10.11 / $21.18	Professional	26	$7.73	$10.11	$21.18
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $27.52 / $56.36	Professional	TC	$20.57	$27.52	$56.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $25.22 / $49.72	Professional		$19.48	$25.22	$49.72
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.69 / $6.85 / $27.05	Professional	26	$5.69	$6.85	$27.05
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $18.53 / $37.79	Professional	TC	$15.75	$18.53	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $35.89 / $64.89	Professional		$24.11	$35.89	$64.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $8.82 / $16.43	Professional	26	$6.44	$8.82	$16.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.44 / $27.10 / $48.69	Professional	TC	$17.44	$27.10	$48.69